COMMODITY PRICE LIST SURVEY

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Store Name* Street Address* New Jersey Department of Health WIC SERVICES P.O. Box 364 Trenton, NJ 08625-0364 City, State, Zip Code* Label COMMODITY PRICE LIST SURVEY Date* Vendor Code(s) Telephone Number* Vendor Stamp Email Address* * Required fields. Identify price zone if designated: Check one: 1. I hereby certify that the prices on this survey reflect the regular shelf prices available today, and the minimum stock requirements are available. 2. I hereby certify the minimum stock requirements were reviewed and not available. Name (Print)* Title* Signature* Date* INSTRUCTIONS: Do NOT complete shaded areas. Do NOT change pre-printed wording. Enter prices and brands (if requested) using regular prices (not sale prices) for WIC items that you sell. Mail completed form to the above address. Minimum for New Jersey WIC Services: To meet the needs of all types of WIC participants, WIC retail stores are required to maintain minimum stock standards of all available WIC foods and have them available at all times. For consideration as a new WIC retail store the minimum stock inventory must be at the prospective store at the time of submission of the application packet and hereafter. All WIC retail stores must submit lowest [L] and highest [H] prices, brands and sizes for mandatory minimum stock. USDA Nondiscrimination Statement In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, disability, age, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA. Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English. To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027) found online at: http://www.ascr.usda.gov/complaint_filing_cust.html, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by: (1) mail: U.S. Department of Agriculture Office of the Assistant Secretary for Civil Rights 1400 Independence Avenue, SW Washington, D.C. 20250-9410; (2) fax: (202) 690-7442; or (3) email: program.intake@usda.gov. This institution is an equal opportunity provider. Page 1 of 26 Pages.

Store Name Vendor Code (s) Date MILK Dry/Powdered Milk, 8 Quart Minimum Requirement 228 8 Quart Dry/Powdered Milk, 10 Quart Evaporated Milk Fluid: Whole (Store Brand Only) Fluid: Whole (Store Brand Only) Fluid: Low Fat/Skim (Store Brand Only) Fluid: Low Fat/Skim (Store Brand Only) UHT (Shelf Milk), 2%, 1% or Skim/Fat Free UHT (Shelf Milk) Whole Milk Lactose Reduced/ 100% Lactose Free 1% or Skim/Fat Free Lactose Reduced/ 100% Lactose Free 2% Lactose Reduced/ 100% Lactose Free Whole Milk Kosher Milk, Whole Kosher Milk, Fat Free 226 10 Quart 176 12 Ounces 16 12-Ounce Cans 176 12 Ounces 190 4 Half Gallons Store: Half Gallon 184 5 Gallons Store: Gallon 185 8 Half Gallons Store: Half Gallon 182 10 Gallons Store: Gallon 191 Quart 192 Quart 188 Half Gallon 275 Half Gallon 189 Half Gallon 187 Half Gallon 186 Half Gallon Page 2 of 26 Pages.

Store Name Vendor Code (s) Date SOY MILK (HALF GALLON) 8th Continent Soy Milk (Original) 8th Continent Soy Milk (Vanilla) Minimum Requirement 218 8th Continent Half Gallon 218 8th Continent Half Gallon Silk Original Soy Milk 218 Silk Half Gallon TOFU (16 OUNCE PACKAGE ONLY) Azumaya Tofu Silken 181 Azumaya 16 Ounces House Foods America Firm Tofu House Foods America Medium Firm Tofu House Foods America Extra Firm Tofu 181 181 181 House Foods America House Foods America House Foods America 16 Ounces 16 Ounces 16 Ounces EGGS [ANY BRAND, ONE DOZEN (12) CARTON] NOT ALLOWED 1/2 dozen cartons (6 eggs); cooked eggs; jumbo eggs; extra large eggs; medium eggs; brown eggs; specialty eggs; low cholesterol eggs; organic eggs; Eggland s Best; cage-free/free range eggs; eggs with Omega-3. Grade A Large, White Only 198 16 1-Dozen Containers 1 Dozen Page 3 of 26 Pages.

[32 OUNCE (OZ) CONTAINER ONLY] ALLOWED: Plain, Vanilla, And Strawberry. NOT ALLOWED Yogurts sold with accompanying mix-in ingredients such as granola, candy pieces, honey, nuts, and similar ingredients as well as drinkable yogurts. (Minimum Required: 1 Brand, 1 Variety, to total 10 containers.) WHOLE FAT YOGURT Lucerne Plain Yogurt 10 Containers Dannon Shop Rite 32 ounces Foodtown Vanilla Yogurt 10 Containers Dannon 32 ounces LOW FAT Best Yet Foodtown Dannon Plain Yogurt 10 Containers Shop Rite 32 ounces Stop & Shop Weis White Rose Lucerne Best Yet Dannon Foodtown Vanilla Yogurt 10 Containers Shop Rite Weis 32 ounces White Rose Yoplait Great Value Lucerne Dannon Strawberry Yogurt 10 Containers Foodtown Yoplait Great Value 32 ounces NON FAT Shop Rite Stop & Shop Weis Plain Yogurt 10 Containers Lucerne Best Yet 32 ounces Dannon Foodtown Great Value Vanilla Yogurt 10 Containers Best Yet Great Value Shop Rite Stop & Shop 32 ounces Page 4 of 26 Pages.

CHEESE, 16 OUNCE PACKAGE ONLY, ANY DOMESTIC BRAND (MADE IN USA) ALLOWED Cheese made in the USA from 100% pasteurized cow s milk only. Cheese labeled low/reduced cholesterol, low/reduced fat, or low/light in sodium, individual slices (unwrapped), block, or shredded. NOT ALLOWED Individually wrapped slices, deli cheese; imported cheese, cheese food, cheese spread; cheese product; flavored cheese; string cheese; organic cheese. (Minimum Required: 1 Brand, 2 Varieties, to Total 10 Packages) American (Pasteurized Processed) 178 16 Ounces Cheddar 178 16 Ounces Colby 178 16 Ounces Monterey Jack 178 16 Ounces Mozzarella (Part Skim or Whole) 178 16 Ounces Muenster 178 16 Ounces Provolone 178 16 Ounces Swiss 178 16 Ounces Page 5 of 26 Pages.

CHEESE, 16 OUNCE PACKAGE ONLY, ANY DOMESTIC BRAND (MADE IN USA), CONTINUED KOSHER CHEESE (No Minimum Required) American (Pasteurized Processed) Cheddar Colby Monterey Jack Mozzarella (Part Skim or Whole) Muenster Provolone Swiss 16 Ounces 16 Ounces 16 Ounces 16 Ounces 16 Ounces 16 Ounces 16 Ounces 16 Ounces Page 6 of 26 Pages.

Minimum Requirement MATURE BEANS, PEAS AND LENTILS (ANY BRAND) NOT ALLOWED Green beans; green peas; snap beans; orange beans; wax beans; baked beans; pork and beans; beans with meat (such as franks and beans); canned beans with added sugars, fats, meat or oils; organic beans; soups. DRY (VARIETIES OF MATURE BEANS, PEAS AND LENTILS) (16 OUNCE ONLY) Dry, All Varieties 197 8 1-Lb. Bags 1 Lb. CANNED (VARIETIES OF MATURE BEANS, PEAS AND LENTILS (15.5 16 OUNCE ONLY) Canned, All Varieties 197 8 15.5-16 Oz. Cans 15.5-16 Oz. Cans Minimum Requirement PEANUT BUTTER, CREAMY OR CRUNCHY ALLOWED Any store brand and select National brands Skippy and Jif NOT ALLOWED Organic peanut butter; peanut spread; freshly ground or whipped peanut butter; peanut butter mixed with jelly, marshmallow, chocolate or honey; peanut butter with added vitamins and minerals. Peanut Butter, Creamy or Crunchy 193 16-18 Ounces 193 8 16-18 Ounce Jars Jif 16-18 Ounces 193 Skippy 16-18 Ounces Page 7 of 26 Pages.

CANNED FISH (ANY COMBINATION) (Minimum Required: Any Brand, 1 Variety, to Total 12 Cans) NOT ALLOWED Albacore tuna, blueback salmon, red salmon; flavored fish; fish with added ingredients; organic fish; fish in pouches; fish in individual serving size containers. JACK MACKERAL Jack Mackeral (15-Ounce Size) 207 Iberia 15 Ounces PINK SALMON, PACKED IN WATER/OIL, ANY BRAND (PLAIN VARIETIES); MAY CONTAIN BONES AND SKIN Pink Salmon 207 7.5 Ounces 207 14.75 Ounces SARDINES, PACKED IN WATER/OIL, ANY BRAND (PLAIN VARIETIES) Sardines 207 3.75 Ounces TUNA, PACKED IN WATER, ANY BRAND (PLAIN VARIETIES) Tuna, Light 5-Ounce Minimum Size 207 Ounces Ounces Page 8 of 26 Pages.

SIZE 100% WHOLE WHEAT BREAD PRODUCTS (1 POUND / 16 OUNCES) (Minimum Required: One Brand, One Variety, to Total 9 Packages of Loaves or Rolls) ACME AMERICA CHOICE ARNOLD Stone Ground BEST YET BIMBO ESSENTIAL EVERYDAY FRANCZOZ GOLD MEDAL HANAFORD KEY FOOD KRASDALE PAS PEPPERIDGE FARM Light Style Stone Ground PRICE Page 9 of 26 Pages.

SIZE 100% WHOLE WHEAT BREAD PRODUCTS (1 POUND / 16 OUNCES) (Minimum Required: One Brand, One Variety, to Total 9 Packages of Loaves or Rolls) SARA LEE SHOPRITE SIGNATURE KITCHENS STERN S 100% Whole Wheat Rolls (8 count) 204 16 Ounces STOP & SHOP SUNGRAIN WINDMILL FARMS PRICE 100% Stone Ground Whole Wheat Bread w/gluten, Hamatzle 100% Stone Ground Whole Wheat Bread w/gluten, Mezonos 204 16 Ounces 204 16 Ounces WONDER OTHER 100% WHOLE GRAIN PRODUCTS Minimum Requirement BROWN RICE (16 OZ. PACKAGE) (ANY BRAND) NOT ALLOWED Brown rice with added sugars, fats or salt; brown rice with other added ingredients; organic brown rice. (Minimum Required: Any Brand, One Variety, to Total 6 Boxes or Bags) Plain Brown Rice 223 6 Boxes or Bags 16 Ounces Page 10 of 26 Pages.

OTHER 100% WHOLE GRAIN PRODUCTS, CONTINUED PASTA PRODUCTS (16 OUNCES ONLY) ALLEGRA Minimum Requirement Whole Wheat Spaghetti 283 16 Ounces BARILLA Whole Grain Angel Hair 283 16 Ounces Whole Grain Elbows 283 16 Ounces Whole Grain Linguine 283 16 Ounces Whole Grain Medium Shells 283 16 Ounces Whole Grain Penne 283 16 Ounces Whole Grain Rotini 283 16 Ounces Whole Grain Spaghetti 283 16 Ounces Whole Grain Thin Spaghetti 283 16 Ounces BIONATURAE ORGANIC 100% Whole Wheat Fettuccine 283 16 Ounces 100% Whole Wheat Fusili 283 16 Ounces 100% Whole Wheat Penne Rigate 283 16 Ounces 100% Whole Wheat Rigatoni 283 16 Ounces 100% Whole Wheat Spaghetti 283 16 Ounces ESSENTIAL EVERYDAY Whole Wheat Penne Rigate 283 16 Ounces Whole Wheat Rotini 283 16 Ounces Whole Wheat Spaghetti 283 16 Ounces Whole Wheat Thin Spaghetti 283 16 Ounces GIA RUSSA 100% Whole Wheat Angel Hair 283 16 Ounces 100% Whole Wheat Linguine 283 16 Ounces 100% Whole Wheat Penne Rigate 283 16 Ounces 100% Whole Wheat Rotini 283 16 Ounces 100% Whole Wheat Spaghetti 283 16 Ounces GREAT VALUE Whole Wheat Thin Spaghetti 283 16 Ounces HEARTLAND Whole Wheat Elbow 283 16 Ounces Whole Wheat Rotini 283 16 Ounces OTHER 100% WHOLE GRAIN PRODUCTS, CONTINUED SIZE PRICE Page 11 of 26 Pages.

PASTA PRODUCTS (16 OUNCES ONLY), CONTINUED HODGSON MILL Whole Wheat Whole Grain Angel Hair 283 16 Ounces Whole Wheat Whole Grain Elbows 283 16 Ounces Whole Wheat Whole Grain Spirals 283 16 Ounces Whole Wheat Whole Grain Thin Spaghetti 283 16 Ounces RONZONI 100% Whole Wheat Linguine 283 16 Ounces 100% Whole Wheat Penne Rigate 283 16 Ounces 100% Whole Wheat Rotini 283 16 Ounces 100% Whole Wheat Spaghetti 283 16 Ounces 100% Whole Wheat Thin Spaghetti 283 16 Ounces SHOP RITE 100% Whole Wheat Penne Rigate 283 16 Ounces 100% Whole Wheat Rotini 283 16 Ounces 100% Whole Wheat Spaghetti 283 16 Ounces VIA-ROMA Wheat Penne Rigatoni 283 16 Ounces Wheat Spaghetti 283 16 Ounces WEIS 100% Whole Wheat Angel Hair 283 16 Ounces 100% Whole Wheat Penne Rigate 283 16 Ounces 100% Whole Wheat Rotini 283 16 Ounces 100% Whole Wheat Spaghetti 283 16 Ounces Page 12 of 26 Pages.

OTHER 100% WHOLE GRAIN PRODUCTS, CONTINUED TORTILLA (16 OUNCE PACKAGES ONLY) (Minimum Required: One Brand, One Plain Variety, to Total 6 Bags Minimum Requirement SIZE PRICE America s Choice Whole Wheat 224 16 Ounces Carlita Soft White Corn 224 16 Ounces Carlita Whole Wheat 224 16 Ounces Celia s Whole Wheat 224 16 Ounces Celia s Yellow Corn 224 16 Ounces Chi Chi s White Corn 224 16 Ounces Chi Chi s Whole Wheat 224 16 Ounces Don Pancho White Corn 224 16 Ounces Don Pancho Whole Wheat 224 16 Ounces Herdez Corn 224 16 Ounces Herdez Whole Wheat 224 16 Ounces Key Food White Corn 224 16 Ounces Key Food Whole Wheat 224 16 Ounces 6 Bags La Banderita Corn 224 16 Ounces La Burrita Corn 224 16 Ounces Mayan Farm Whole Wheat 224 16 Ounces Mex-America Whole Wheat with Honey 224 16 Ounces Mission Whole Wheat 224 16 Ounces Mission Yellow Corn 224 16 Ounces My Essentials Whole Wheat 224 16 Ounces Ortega Whole Wheat 224 16 Ounces ShopRite Whole Wheat Flour 224 16 Ounces Stop & Shop White Corn 224 16 Ounces Stop & Shop Whole Wheat Flour 224 16 Ounces Weis Whole Wheat 224 16 Ounces Wegmans Whole Wheat 224 16 Ounces Page 13 of 26 Pages.

SIZE PRICE SIZE PRICE BREAKFAST CEREALS (ANY COMBINATION OF COLD/HOT BREAKFAST CEREALS) (Minimum Required: Six (6) Allowable Varieties from Store and/or National Brands; eight (8) boxes of each Allowable Variety, for a Total of 48 Boxes.) STORE BRAND COLD CEREALS (MINIMUM SIZE OF 18 OUNCES UP TO 36 OUNCES ALLOWED) NOT ALLOWED Cereals not listed; organic cereals; sizes not listed. CORN FLAKES Foodtown 202 Great Value 202 IGA 202 Hy-Top 202 Kemach 202 Key Food 202 Kiggins 202 Krasdale 202 My Essentials 202 Parade 202 Ralston 202 Red & White 202 ShopRite 202 Shurfine 202 Stop & Shop 202 Wegmans 202 Weis 202 White Rose 202 RICE CEREALS Great Value Crisp Rice 202 Kemach Crisp Rice 202 OAT CEREALS Great Value Tasteeos 202 OTHER CEREALS Kemach Bran Flakes 202 Kemach Whole Wheat Flakes (multi-vitamin) 202 ShopRite (Oats and More with Honey) 202 Wegmans (Multi-Grain Toasted) 202 Weis (Multi-Grain Tasteeos) 202 Weis (Oats & More with Honey) 202 Page 14 of 26 Pages.

SIZE PRICE SIZE PRICE BREAKFAST CEREALS (ANY COMBINATION OF COLD/HOT BREAKFAST CEREALS), CONTINUED (Minimum Required: Six (6) Allowable Varieties from Store and/or National Brands; eight (8) boxes of each Allowable Variety, for a Total of 48 Boxes.) NATIONAL BRAND COLD CEREALS (MINIMUM SIZE OF 18 OUNCES UP TO 36 OUNCES ALLOWED) NOT ALLOWED Cereals not listed; organic cereals; sizes not listed. GENERAL MILLS Cheerios (Plain only) 202 Dora the Explorer 202 Go Diego Go 202 Kix (Plain only) 202 KELLOGG'S All Bran Complete Wheat Flakes 202 Corn Flakes 202 Rice Krispies 202 Special K Original 202 MOMS BRAND Crisp Rice 202 Oat Blenders with Honey 202 POST Grape Nut Flakes 202 Honey Bunches of Oats (Honey Roasted) Honey Bunches of Oats (With Almonds) Honey Bunches of Oats (With Cinnamon Bunches) 202 202 202 Page 15 of 26 Pages.

SIZE PRICE BREAKFAST CEREALS (ANY COMBINATION OF COLD/HOT BREAKFAST CEREALS) (Minimum Required: Six (6) Allowable Varieties from Store and/or National Brands; eight (8) boxes of each Allowable Variety, for a Total of 48 Boxes.) HOT CEREALS (UP TO 36 OUNCES ALLOWED) NOT ALLOWED Cereals not listed; organic cereals; sizes not listed. B & G FOODS Cream of Wheat (1 Minute) 202 28 Ounces Cream of Wheat (2.5 Minutes) 202 28 Ounces Cream of Wheat Whole Grain (2.5 Minutes) 202 18 Ounces Cream of Wheat Enriched Farina (10 Minutes) 202 28 Ounces BEST YET Instant Oatmeal Original 202 11.8 Ounces ESSENTIAL EVERYDAY Instant Oatmeal Original 202 11.8 Ounces FARINA MILLS Farina Creamy Hot Wheat Cereal (Original) 202 28 Ounces HY-TOP Instant Oatmeal Original 202 11.8 Ounces IGA Instant Oatmeal Original 202 11.8 Ounces KEY FOOD Instant Oatmeal Original 202 11.8 Ounces MALT-O-MEAL Malt-O-Meal Original 202 36 Ounces PARADE Instant Oatmeal Original 202 11.8 Ounces QUAKER Instant Grits Original 202 12 Ounces SHOPRITE Instant Oatmeal Original 202 11.8 Ounces STOP & SHOP Instant Oatmeal Original 202 11.8 Ounces WEIS Instant Oatmeal Original 202 11.8 Ounces Page 16 of 26 Pages.

100% JUICE ONLY NOT ALLOWED FOR ALL SIZE JUICES Juices not listed below; products that are not 100% juice (drinks, ades, nectars, coolers, beverages, Hi-C, cocktails, twisters, splashes, punches, juices with added sugar, sugar substitute or DHA/ARA, baby juices); sizes not listed above; organic juices. JUICE (100% JUICE ONLY), 64-OUNCE CONTAINERS (REFRIGERATED) (Minimum Required: Four 64-Ounce Containers of 1 Allowable Variety) Grapefruit Juice Orange Juice 201 64 Ounces 201 64 Ounces JUICE (100% JUICE ONLY), 64-OUNCE CONTAINERS (NON-REFRIGERATED) (Minimum Required: Six 64-Ounce Containers Each of 2 Allowable Varieties, to Total 12 Containers) Grapefruit Juice 201 64 Ounces Orange Juice 201 64 Ounces Page 17 of 26 Pages.

100% JUICE ONLY, CONTINUED JUICE (100% JUICE ONLY), 64-OUNCE CONTAINERS (NON-REFRIGERATED) (Minimum Required: Six 64-Ounce Containers Each of 2 Allowable Varieties, to Total 12 Containers) BEST YET (FOODT0WN) Apple Juice 201 Best Yet 64 Ounces Grape (Purple) Juice 201 Best Yet 64 Ounces Pineapple Juice 201 Best Yet 64 Ounces Vegetable Juice 201 Best Yet 64 Ounces DIANE S GARDEN Vegetable Juice (from concentrate) ESSENTIAL EVERYDAY 201 Diane s Garden 64 Ounces Apple Juice 201 Essential Everyday 64 Ounces Apple Juice (with calcium and vitamin D) 201 Essential Everyday 64 Ounces Cranberry Juice 201 Essential Everyday 64 Ounces Grape Juice 201 Essential Everyday 64 Ounces Pineapple Juice 201 Essential Everyday 64 Ounces Tomato Juice 201 Essential Everyday 64 Ounces Tomato Juice (low sodium) 201 Essential Everyday 64 Ounces Vegetable Juice 201 Essential Everyday 64 Ounces Vegetable Juice (low sodium) 201 Essential Everyday 64 Ounces GREAT VALUE (WALMART) Apple Juice 201 Great Value 64 Ounces Grape Juice 201 Great Value 64 Ounces Tomato Juice 201 Great Value 64 Ounces Vegetable Juice 201 Great Value 64 Ounces White Grape Juice 201 Great Value 64 Ounces HANNAFORD BROTHERS CO. Apple Juice 201 Hannaford Brothers Co. 64 Ounces Grape Juice 201 Hannaford Brothers Co. 64 Ounces Page 18 of 26 Pages.

100% JUICE ONLY, CONTINUED JUICE (100% JUICE ONLY), 64-OUNCE CONTAINERS (NON-REFRIGERATED) (Minimum Required: Six 64-Ounce Containers Each of 2 Allowable Varieties, to Total 12 Containers) HARVEST HILL Apple 201 Juicy Juice 64 Ounces Apple Raspberry 201 Juicy Juice 64 Ounces Berry 201 Juicy Juice 64 Ounces Cherry 201 Juicy Juice 64 Ounces Cranberry Apple 201 Juicy Juice 64 Ounces Fruit Punch 201 Juicy Juice 64 Ounces Grape 201 Juicy Juice 64 Ounces Kiwi Strawberry 201 Juicy Juice 64 Ounces Mango 201 Juicy Juice 64 Ounces Orange Tangerine 201 Juicy Juice 64 Ounces Passion Dragonfruit 201 Juicy Juice 64 Ounces Peach Apple 201 Juicy Juice 64 Ounces Strawberry Banana 201 Juicy Juice 64 Ounces Strawberry Watermelon 201 Juicy Juice 64 Ounces Tropical 201 Juicy Juice 64 Ounces White Grape 201 Juicy Juice 64 Ounces HY-TOP Apple Juice 201 Hy-Top 64 Ounces Grape Juice 201 Hy-Top 64 Ounces Tomato Juice 201 Hy-Top 64 Ounces Vegetable Juice 201 Hy-Top 64 Ounces IGA Apple Juice 201 IGA 64 Ounces Grape Juice 201 IGA 64 Ounces KEY FOOD Apple Juice 201 Key Food 64 Ounces Cranberry Apple Juice 201 Key Food 64 Ounces Cranberry Grape Juice 201 Key Food 64 Ounces Cranberry Juice 201 Key Food 64 Ounces Pineapple Juice 201 Key Food 64 Ounces White Grape Juice 201 Key Food 64 Ounces Page 19 of 26 Pages.

100% JUICE ONLY, CONTINUED JUICE (100% JUICE ONLY), 64-OUNCE CONTAINERS (NON-REFRIGERATED) (Minimum Required: Six 64-Ounce Containers Each of 2 Allowable Varieties, to Total 12 Containers) KRASDALE Apple Juice 201 Krasdale 64 Ounces Grape Juice 201 Krasdale 64 Ounces MARKET PANTRY (TARGET) Apple Juice 201 Market Pantry 64 Ounces Grape Juice 201 Market Pantry 64 Ounces Tomato Juice 201 Market Pantry 64 Ounces MY ESSENTIALS Grape Juice 201 My Essentials 64 Ounces NATURE S OWN Apple Juice 201 Nature s Own 64 Ounces Grape Juice 201 Nature s Own 64 Ounces PARADE Apple Juice 201 Parade 64 Ounces Grape Juice 201 Parade 64 Ounces RED & WHITE Apple Juice 201 Red & White 64 Ounces Cranberry Juice 201 Red & White 64 Ounces Cranberry-Apple Juice 201 Red & White 64 Ounces Cranberry-Grape Juice 201 Red & White 64 Ounces Grape Juice 201 Red & White 64 Ounces SHOPRITE Apple Juice 201 ShopRite 64 Ounces Cranberry Juice 201 ShopRite 64 Ounces Vegetable Juice (low sodium) 201 ShopRite 64 Ounces White Grape Juice 201 ShopRite 64 Ounces Page 20 of 26 Pages.

100% JUICE ONLY, CONTINUED JUICE (100% JUICE ONLY), 64-OUNCE CONTAINERS (NON-REFRIGERATED) (Minimum Required: Six 64-Ounce Containers Each of 2 Allowable Varieties, to Total 12 Containers) SIGNATURE KITCHENS (ACME) Apple Juice 201 Signature Kitchens 64 Ounces Cranberry Juice 201 Signature Kitchens 64 Ounces Cranberry Plus Juice 201 Signature Kitchens 64 Ounces Grape Juice 201 Signature Kitchens 64 Ounces Pineapple Juice 201 Signature Kitchens 64 Ounces Tomato Juice 201 Signature Kitchens 64 Ounces Vegetable Juice 201 Signature Kitchens 64 Ounces White Grape Juice 201 Signature Kitchens 64 Ounces STOP AND SHOP Apple Juice 201 Stop and Shop 64 Ounces Apple Juice (with 20% calcium) 201 Stop and Shop 64 Ounces Cranberry Juice (3 juice blend) 201 Stop and Shop 64 Ounces Grape Juice 201 Stop and Shop 64 Ounces Tomato Juice 201 Stop and Shop 64 Ounces Vegetable Juice 201 Stop and Shop 64 Ounces TIPTON GROVE Apple Juice (from concentrate) 201 Tipton Grove 64 Ounces Grape Juice (from concentrate) 201 Tipton Grove 64 Ounces WEGMANS Apple Juice 201 Wegmans 64 Ounces Apple Juice (from concentrate with 20% calcium) Cranberry Juice (from concentrate; 3 juice blend) Cranberry-Apple Juice (from concentrate with juice blend) Cranberry-Concord Grape (from concentrate with juice blend) Cranberry-Raspberry Juice (from concentrate; 4 juice blend) Grape Juice (from concentrate with 10% calcium & 10% fiber) 201 Wegmans 64 Ounces 201 Wegmans 64 Ounces 201 Wegmans 64 Ounces 201 Wegmans 64 Ounces 201 Wegmans 64 Ounces 201 Wegmans 64 Ounces Grape Juice (from concentrate) 201 Wegmans 64 Ounces Page 21 of 26 Pages.

100% JUICE ONLY, CONTINUED JUICE (100% JUICE ONLY), 64-OUNCE CONTAINERS (NON-REFRIGERATED) (Minimum Required: Six 64-Ounce Containers Each of 2 Allowable Varieties, to Total 12 Containers) WEIS Apple Juice (calcium fortified) 201 Weis 64 Ounces Cranberry Juice Blend 201 Weis 64 Ounces Cranberry-Apple Juice Blend 201 Weis 64 Ounces Cranberry-Grape Juice Blend 201 Weis 64 Ounces Cranberry-Raspberry Juice Blend 201 Weis 64 Ounces Grape Juice 201 Weis 64 Ounces Lotsa Juice Grape Juice Blend 201 Weis 64 Ounces Vegetable Juice 201 Weis 64 Ounces Page 22 of 26 Pages.

100% JUICE ONLY, CONTINUED 100% JUICE CONCENTRATE (ANY COMBINATION OF SHELF-STABLE OR FROZEN) (Minimum Required: Six 11.5 or 12-Ounce Cans Each of 2 Allowable Varieties, to Total 12 Cans) SHELF-STABLE, 11.5 OUNCE CAN ONLY Apple Juice (100% Juice Pourable Concentrate) Grape Juice (100% Juice Pourable Concentrate) FROZEN, 11.5 12 OUNCE CONTAINER ONLY 201 Welch s 11.5 Ounces 201 Welch s 11.5 Ounces Grapefruit Juice 201 11.5-12 Ounces Orange Juice BEST YET (FOODTOWN) 201 11.5-12 Ounces Apple Juice 201 Best Yet 11.5-12 Ounces ESSENTIAL EVERYDAY Apple Juice 201 Essential Everyday 11.5-12 Ounces Grape Juice 201 Essential Everyday 11.5-12 Ounces GREAT VALUE (WALMART) Apple Juice 201 Great Value 11.5-12 Ounces Grape Juice 201 Great Value 11.5-12 Ounces HANNAFORD BROTHERS CO. Apple Juice (from concentrate) 201 Hannaford Brothers Co. 11.5-12 Ounces MARKET PANTRY (TARGET) Apple Juice 201 Market Pantry 11.5-12 Ounces Grape Juice 201 Market Pantry 11.5-12 Ounces MY ESSENTIALS Apple Juice (from concentrate) 201 My Essentials 11.5-12 Ounces PARADE Apple Juice 201 Parade 11.5-12 Ounces Page 23 of 26 Pages.

100% JUICE ONLY, CONTINUED 100% JUICE CONCENTRATE (ANY COMBINATION OF SHELF-STABLE OR FROZEN), CONTINUED (Minimum Required: Six 11.5 or 12-Ounce Cans Each of 2 Allowable Varieties, to Total 12 Cans) FROZEN, 11.5 12 OUNCE CONTAINER ONLY, CONTINUED SHOPRITE Apple Juice 201 ShopRite 11.5-12 Ounces SIGNATURE KITCHENS (ACME) Apple Juice 201 Signature Kitchens 11.5-12 Ounces STOP &SHOP Apple Juice 201 Stop & Shop 11.5-12 Ounces Grape Juice 201 Stop & Shop 11.5-12 Ounces TIPTON GROVE Apple Juice 201 Tipton Grove 11.5-12 Ounces WEGMANS Apple Juice 201 Wegmans 11.5-12 Ounces Apple Juice (with Calcium) 201 Wegmans 11.5-12 Ounces WEIS Apple Juice 201 Weis 11.5-12 Ounces Page 24 of 26 Pages.

BABY FOODS Minimum Requirement BABY FOOD MEAT, ANY BRAND (PLAIN SINGLE MEAT OR POULTRY VARIETIES WITH BROTH OR GRAVY) NOT ALLOWED Infant food combinations (such as meat and vegetables); infant dinners (such as spaghetti and meatballs); baby foods with added sugars or salt; organic baby meats. 214 2.5 Ounces Total of 32 Jars, Any Brand, 2 Varieties 214 2.5 Ounces BABY FOODS FRUITS AND VEGETABLES (ANY BRAND) NOT ALLOWED Baby foods with added sugars, starches, or salt; baby food mixtures with cereal or infant food dessert (such as peach cobbler); organic baby food; any variety of baby foods that contain DHA or yogurt. FRUITS, PLAIN SINGLE FRUITS OR COMBINATIONS OF TWO OR MORE PLAIN FRUITS 212 4 Oz. Jar Total of 32 212 4 Oz. Jar 4-ounce Individual Containers, Any Brand, 2 Pack 212 2 Varieties (4 Oz. Containers) 212 2 Pack (4 Oz. Containers) VEGETABLES, PLAIN SINGLE VEGETABLES OR COMBINATIONS OF TWO OR MORE PLAIN VEGETABLES 212 4 Oz. Jar Total of 32 212 4-ounce 4 Oz. Jar Individual Containers, Any Brand, 2 Pack 212 2 Varieties (4 Oz. Containers) 212 2 Pack (4 Oz. Containers) INFANT CEREAL (ANY BRAND) NOT ALLOWED - Organic infant cereal; infant cereal with extra ingredients such as DHA, formula, fruit, yogurt or added protein. Plain Varieties Only: Rice, Oatmeal, Mixed Grains, Whole Wheat 256 Total of 12 8-Ounce Containers, 2 Varieties 8 Ounces Page 25 of 26 Pages.

INFANT FORMULA MEAD JOHNSON Minimum Requirement TYPE SIZE PRICE Enfamil Premium Infant 265 32 Each Concentrate 13 Ounces Enfamil Prosobee 262 12 Each Concentrate 13 Ounces Enfamil Premium Infant 266 24 Each Powder 12.5 Ounces Enfamil Prosobee 263 12 Each Powder 12.9 Ounces Enfamil Gentlease 268 18 Each Powder 12.4 Ounces Enfamil AR 291 Powder 12.9 Ounces Enfamil Premium Infant 267 Ready To Use 8 Ounces, 6-Pack Enfamil Prosobee 289 Ready To Use 8 Ounces, 6-Pack Enfamil Gentlease 269 Ready To Use 8 Ounces, 6-Pack Enfamil AR 290 Ready To Use 8 Ounces, 6-Pack Minimum Requirement FRUITS AND VEGETABLES (Minimum Required: 2 Varieties Each of Fresh Fruits, Canned Fruits, Fresh Vegetables and Canned Vegetables) (Refer to the current New Jersey WIC Program Cash-Value Voucher brochure, effective July 1, 2015, for allowable and non-allowable Fruits and Vegetables.) FRUITS, FRESH 2 Varieties Yes Yes No No VEGETABLES, FRESH 2 Varieties Yes Yes No No FRUITS, CANNED 2 Varieties Yes Yes No No VEGETABLES, CANNED 2 Varieties Yes Yes No No FRUITS, FROZEN Yes Yes No No VEGETABLES, FROZEN Yes Yes No No Page 26 of 26 Pages.

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